Clinical Care Manager - CA
San Diego, California
The Clinical Care Manager plays a pivotal role in coordinating and overseeing patient care to ensure optimal health outcomes.
Posted Aug 18
- Unit and setting
- Case Management Develop, implement, and monitor individualized care plans for patients with complex medical needs.
- License
- RN or LVN license Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA.professional BSW, MSW or LVN, RN licensure in California
- Term
- Permanent
Do you qualify?
- License
- professional BSW, MSW or LVN, RN licensure in California Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA. Check your license
- License
- California Driver's License Current and valid California (CA) Driver’s License. Check your license
- Certification
- CPR Certification CPR Certification required
- Education
- Bachelor's degree in Nursing, Social Work, Healthcare Administration, or related field Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
- Experience
- at least 5 years in clinical care coordination or case management Requires at least 5 years of experience in clinical care coordination or case management.
- Experience
- experience working with community agencies and programs Requires knowledge of and experience working with community agencies and programs.
- Experience
- experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination Requires experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process.
- Also asks
- strong problem-solving and customer service skills Requires strong problem-solving and customer service skills.
- Also asks
- CA resident and must reside in CA while employed Must be a CA Resident and must reside in CA while employed
- Also asks
- use personal vehicle and current vehicle registration Must use personal vehicle and current vehicle registration required.
- Also asks
- proof of auto insurance maintaining CA minimum coverage Proof of auto insurance required, must maintain CA minimum insurance coverage.
Preferred
- Certification
- Certification in Case Management (CCM) or equivalent credential Certification in Case Management (CCM) or equivalent credential.
- Education
- Master's degree in Nursing, Social Work, Public Health, or Healthcare Administration Master’s degree in Nursing, Social Work, Public Health, or Healthcare Administration.
- Experience
- experience working within California's healthcare system and state-specific healthcare policies Experience working within California’s healthcare system and familiarity with state-specific healthcare policies.
- Experience
- expertise in managing chronic disease populations and complex care cases Demonstrated expertise in managing chronic disease populations and complex care cases.
- Also asks
- bilingual abilities, particularly in Spanish Bilingual abilities, particularly in Spanish, to effectively communicate with diverse patient populations.
What it pays
- Against similar roles
- San Diego staff RN median is $52/hrSan Diego staff RN postings that state pay run $39/hr to $65/hr, the middle half $42/hr to $62/hr, across 97 postings. This posting's $36/hr to $65/hr is wider than that, so where you land depends on the offer.
The role and schedule
- Patients
- Develop, implement, and monitor individualized care plans for patients with complex medical needs. Develop, implement, and monitor individualized care plans for patients with complex medical needs.
- Day to day
- develop, implement, and monitor individualized care plans for complex medical needs
- Day to day
- coordinate communication among providers, patients, and families Coordinate communication among healthcare providers, patients, and families to ensure continuity of care.
- Day to day
- conduct comprehensive assessments to identify needs, risks, and barriers Conduct comprehensive assessments to identify patient needs, risks, and barriers to care.
- Day to day
- facilitate referrals to healthcare services and community resources Facilitate referrals to appropriate healthcare services and community resources.
- Day to day
- track patient progress and outcomes and adjust care plans Track patient progress and outcomes, adjusting care plans as necessary to meet evolving needs.
- Day to day
- ensure compliance with regulations, policies, and quality standards Ensure compliance with healthcare regulations, policies, and quality standards.
- Day to day
- provide education and support to patients and families regarding care management Provide education and support to patients and families regarding treatment plans and health management.
- Day to day
- collaborate with insurance providers and case management teams to optimize resources Collaborate with insurance providers and case management teams to optimize resource utilization.
- Travel
- must use personal vehicle
The workplace
Worth asking
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Your fit
Original listing
Read full text
We are seeking a Clinical Care Manager – CA to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role
The Clinical Care Manager plays a pivotal role in coordinating and overseeing patient care to ensure optimal health outcomes. This position involves managing care plans, collaborating with multidisciplinary healthcare teams, and serving as a liaison between patients, families, and providers. The Clinical Care Manager is responsible for assessing patient needs, facilitating access to appropriate services, and monitoring progress to adjust care strategies as necessary.
By integrating clinical expertise with strong organizational skills, this role aims to enhance patient satisfaction and improve overall care quality. Ultimately, the Clinical Care Manager ensures that care delivery is efficient, patient-centered, and aligned with best practices and regulatory standards.
Minimum Qualifications
- Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
- Requires at least 5 years of experience in clinical care coordination or case management.
- Requires knowledge of and experience working with community agencies and programs.
- Current and valid professional BSW, MSW or LVN, RN, licensure in the State of CA.
- Requires experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process.
- Requires strong problem-solving and customer service skills.
- Must be a CA Resident and must reside in CA while employed
- Current and valid California (CA) Driver’s License.
- Must use personal vehicle and current vehicle registration required.
- Proof of auto insurance required, must maintain CA minimum insurance coverage.
- CPR Certification required
Preferred Qualifications
- Master’s degree in Nursing, Social Work, Public Health, or Healthcare Administration.
- Certification in Case Management (CCM) or equivalent credential.
- Experience working within California’s healthcare system and familiarity with state-specific healthcare policies.
- Demonstrated expertise in managing chronic disease populations and complex care cases.
- Bilingual abilities, particularly in Spanish, to effectively communicate with diverse patient populations.
Responsibilities
- Develop, implement, and monitor individualized care plans for patients with complex medical needs.
- Coordinate communication among healthcare providers, patients, and families to ensure continuity of care.
- Conduct comprehensive assessments to identify patient needs, risks, and barriers to care.
- Facilitate referrals to appropriate healthcare services and community resources.
- Track patient progress and outcomes, adjusting care plans as necessary to meet evolving needs.
- Ensure compliance with healthcare regulations, policies, and quality standards.
- Provide education and support to patients and families regarding treatment plans and health management.
- Collaborate with insurance providers and case management teams to optimize resource utilization.
What's around it?
San Diego, CAFrom Census ACS 2024.
Living costs about 12% above the US average
- Median rent
- $2,313/mo
- Household income
- $108,077/yr, all local households, not nurse pay